Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $143.25 / $249.95	Professional		$128.72	$143.25	$249.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $144.83 / $205.80	Professional		$121.36	$144.83	$205.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $118.50 / $119.83	Facility		$118.50	$118.50	$119.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $1,652.00	Facility		$935.02	$1,240.44	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $223.81 / $422.00	Professional		$141.68	$223.81	$422.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,901.45 / $11,500.00 / $12,000.00	Facility		$4,901.45	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.75 / $1,865.75 / $1,865.75	Professional		$1,865.75	$1,865.75	$1,865.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $229.53 / $406.60	Facility		$130.08	$229.53	$406.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $198.95 / $241.86	Professional		$149.53	$198.95	$241.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $335.90 / $460.30	Professional		$5.00	$335.90	$460.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $237.64 / $430.08	Facility		$130.63	$237.64	$430.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $243.67 / $400.00	Professional		$148.82	$243.67	$400.00
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $169.64 / $305.64	Professional		$112.90	$169.64	$305.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $129.88 / $175.59	Professional		$110.98	$129.88	$175.59